128层螺旋CT对OSAHS患者软腭、硬腭及下颌骨的评估

苏筱芮; 张博薇; 粟丽; 徐蓉; 吴绯红; 李海军; 彭德昌

doi:10.13201/j.issn.1001-1781.2015.19.015

128层螺旋CT对OSAHS患者软腭、硬腭及下颌骨的评估

- 1. 南昌大学江西医学院(南昌, 330006);
- 2. 南昌大学第一附属医院影像科
基金项目:
江西省自然科学基金资助项目(No:20132BAB205100)

详细信息

通讯作者: 彭德昌,E-mail:pengdcdoctor@163.com

中图分类号: R563.8

收稿日期: 2015-06-23

The evaluation of 128slice spiral CT for soft palate,hard palate and mandible in patients with obstructive sleep apnea hypopnea syndrom

- 1 Medical School of Nanchang University, Nanchang, 330006, China;
- 2 Department of Imaging, the First Affiliated Hospital of Nanchang University

More Information

Corresponding author: PENG Dechang, E-mail: pengdcdoctor@163.com

Received Date: 23 June 2015

摘要

摘要: 目的: 探讨软腭、硬腭和下颌骨对阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者的发病机制的影响及指导临床治疗的价值。方法: 采用128层螺旋CT对52例OSAHS患者及32例正常人进行上气道扫描,分别测量软腭、硬腭和下颌骨的相关指标,统计分析二组测量指标差异,并与AHI、MSaO₂做Pearson线性相关分析。结果: 与正常对照组相比,OSAHS组软腭长度(37.93±5.20 mm VS 33.52±4.25 mm,P<0.01)、下颌骨至颈椎前缘距离(75.00±7.10 mm VS 69.93±5.58 mm,P<0.01)明显更长,硬腭后缘至斜坡下缘距离明显更短(42.57±4.52 mm VS 45.80±2.94 mm,P<0.01),各测量指标与AHI和MSaO₂均无显著相关(P>0.05)。结论: 软腭、硬腭及下颌骨为OSAHS重要发病因素之一,对临床治疗术式的选择具有参考价值,术前CT检查可以为OSAHS治疗提供帮助。
- 睡眠呼吸暂停低通气综合征 /
- 阻塞性 /
- 软腭 /
- 硬腭 /
- 下颌骨 /
- 体层摄影术 /
- X线计算机
Abstract: Objective: To discuss the soft palate, hard palate and mandibule for the pathogenesis and clinical treatment of patients who have obstructive sleep apnea hypopnea syndrome.Method: There were 52 patients with OSAHS diagnosed by the PSG and 32 cases of normal healthy volunteers in our hospital. All objects were given 128 slice spiral CT scan of the upper airway. We measured the related indexes of the soft palate, hard palate and mandible, then analysed statistical differences between them and did Pearson correlation analysis with apnea hypoventilation index (AHI), average blood oxygen saturation (MSaO₂) in PSG.Result: Compared with the control group, the soft palate length[(37.93±5.20)mm VS (33.52±4.25)mm] and the distance between mandible with cervical vertebra[(75.00±7.10)mm VS (69.93±5.58)mm] increased significantly, but the distance of trailing edge of hard palate to inferior margin of slope significantly reduced[(42.57±4.52)mm VS (45.80±2.94)mm, P<0.01] in patients with OSAHS. Each measurement associated with AHI and MSaO₂ had no significant correlation(P>0.05).Conclusion: The soft palate, hard palate and mandibular are some of the important risk factors of OSAHS, and they also have reference value for the choice of clinical treatment operation. Preoperative CT examination can offer help in the treatment of OSAHS.
- sleep apnea hypopnea syndrome /
- obstructive /
- soft palate /
- hard palate /
- mandible /
- tomography /
- X-ray computer

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参考文献(13)

[1]	YANG D, ZHOU H F, XIE Y. Efficacy of uvulopalatopharyngoplasty combined with oral appliance in treatment of obstructive sleep apnea-hypopnea syndrome[J]. Ir J Med Sci, 2015, 184:329-334.
[2]	ENGLEMAN H M, WILD M R. Improving CPAP use by patients with the sleep apnoea hypopnoea syndrome[J]. Sleep Med Rev, 2003, 7:81-99.
[3]	钮燕,白忠,杨晓红,等.阻塞性睡眠呼吸暂停低通气患者上气道极速CT测量[J].临床耳鼻咽喉头颈外科杂志,2014,28(3):143-147.
[4]	韩德民,王军,叶京英,等.腭咽成形术中保留悬雍垂的意义[J].中华耳鼻咽喉头颈外科杂志,2010,35(3):215-218.
[5]	罗金梅,肖毅.一种简便易行的筛查阻塞性睡眠呼吸暂停低通气综合征的问卷:STOP-Bang问卷[J].中华结核和呼吸杂志,2013,36(11):868-870.
[6]	张文伟,邱杰,张忻宇.阻塞性睡眠呼吸暂停低通气综合征患者上气道CT测量及临床意义[J].临床放射学杂志,2013,32(4):499-511.
[7]	刘茗,王选锭.阻塞性睡眠呼吸暂停低通气综合征的发病机制和治疗[J].国际呼吸杂志,2007,27(17):278-281.
[8]	王志文,许凌云,张晓馨,等.探讨气道双源CT和测压检查对OSAHS的联合应用价值[J].医学影像学杂志,2013,23(1):48-51.
[9]	PAULSEN F P, DTEVEN P, TSOKOS M, et al. Upper airway epithelial structural change in obstructives sleeep-disordered breathing[J]. Am J Respir Crit Care Med, 2002, 166:501-508.
[10]	钱备,汤光宇,刘勇,等.阻塞性睡眠呼吸暂停低通气综合征患者软腭的动态磁共振研究[J].临床耳鼻咽喉头颈外科杂志,2010,24(24):1108-1111.
[11]	HOCHBAN W, BRANDENBRUG U. Morphology of the viscerocranium in obstructive sleep apnoea syndrome——cephalometric evaluation of 400 patients[J]. J Craniomaxillofac Srug,1994, 22:205-213.
[12]	白晓东,张韶峰,杨传铎,等.颈椎曲度异常的测量及其病因[J].中国临床康复,2005,9(30):10-13.
[13]	张乐,徐昕,楼文蓉,等.硬腭截断-悬雍垂腭咽成形术口腔矫治器治疗OSAHS疗效分析[J].中外医疗,2012,31(8):69-71.